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YN3-13825-54435

3 vaccinations 4 coded responses 8 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
378 / TN
Registered
2021-04-19
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
CRN-24488-04938 Child or adolescent in my care · Female · 2022-05-06

Timeline

  1. 2021-03-19
    Dose 1 — Moderna
  2. 2021-04-16
    Dose 2 — Moderna
  3. 2021-04-19
    Registered in v-safe
  4. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain
    Adult check-in
  6. 2021-04-23
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-04-30
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-05-07
    Survey response — day 21, dose 2
    MedDRA: Pyrexia, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Very bad sinus infection, mild fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-28
    Survey response — day 42, dose 2
    MedDRA: Menstrual disorder, Sinus disorder — Feeling: Good
    Free text: Menstrual cycle has been abnormal Sinus, but that can be due to high pollen in my area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-12-29
    Dose 3 — Moderna
  11. 2022-04-18
    Survey response — 12 months, dose 2
    MedDRA: Menstruation irregular — Feeling: Good
    Free text: My period is not fully back on track...
    MedDRA releases: 2024-11 · check-in free text available
  12. 2023-01-01
    Survey response — 12 months, dose 3
    MedDRA: Chills, Cough, Fatigue, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  13. 2023-01-01
    Report sent to call center — 12 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  14. 2023-01-04

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna
22021-04-16Moderna
32021-12-29Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2023-01-01 Unsuccessful

Free text

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Very bad sinus infection, mild fever

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Menstrual cycle has been abnormal Sinus, but that can be due to high pollen in my area

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: My period is not fully back on track...

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDChills · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDMenstrual disorder ✓ ✓ ✓
SDMenstruation irregular · · ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSinus disorder ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release